Evidence map›Paper›PMID 31233277›Full record

ArticleArthritis care & research2020

Natural History of Radiographic First Metatarsophalangeal Joint Osteoarthritis: A Nineteen-Year Population-Based Cohort Study.

Catherine Bowen, Lucy Gates, Peter McQueen, Maxine Daniels, Antonella Delmestri, Wendy Drechsler, David Stephensen, Michael Doherty, Nigel Arden

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Article in Arthritis care & research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Catherine BowenUniversity of Southampton, Southampton, UK.ORCID 0000-0002-7252-9515
Lucy GatesUniversity of Southampton, Southampton, UK.
Peter McQueenOxford Health NHS Trust, Oxford, UK.
Maxine DanielsUniversity of Oxford, Oxford, UK.
Antonella DelmestriUniversity of Oxford, Oxford, UK.
Wendy DrechslerKing's College, London, UK.
David StephensenCanterbury Christ Church University, Canterbury, UK.
Michael DohertyUniversity of Nottingham, Nottingham, UK.
Nigel ArdenUniversity of Oxford, Oxford, UK, and University of Southampton, Southampton, UK.

Funding

Department of Health CDF-2015-08-032
6 · The paper itself

Abstract

objectiveTo assess the long-term prevalence, natural history, progression, and incidence of radiographic first metatarsophalangeal (MTP) joint osteoarthritis (OA).

methodsA longitudinal cohort design was used in which radiographic OA at the first MTP joint was investigated in participants from the Chingford 1,000 Women Study at year 6 (1995) and year 23 (2013-2015). Radiographic features of osteophytes (OPs) and/or joint space narrowing (JSN) at the first MTP joint were scored according to a validated foot atlas. Natural history was determined by the change in prevalence, incidence, progression, and worsening of OA in the first MTP joint.

resultsComplete case-matched foot radiographic data were available for 193 of the women currently enrolled in the study (mean ± SD age 75.7 ± 5.2 years [range 69-90 years]). At the level of the first MTP joint, prevalence of OA at year 6 was 21.76% in the left and 24.35% in the right; at year 23, it was 23.83% in the left and 32.64% in the right. Over the 19-year period, 13.5% of the women developed incident OA in the right first MTP joint and 8.3% in the left. Both progression and worsening of OA were more evident for OPs and in the right first MTP joints.

conclusionIn this study of the natural history of radiographic first MTP joint OA, which to our knowledge is the longest study to date, the prevalence and incidence of first MTP joint OA increased over a 19-year period. Progression and/or worsening of OA at the first MTP joint over time appears to be driven by OP development rather than JSN, which suggests a biomechanical cause.

Indexed as

AgedAged, 80 and overDisease ProgressionFemaleHumansIncidenceMaleMetatarsophalangeal JointOsteoarthritisPrevalenceRadiography

Identifiers

PMID31233277
PMCPMC7496760

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